Teamwork in the OR: Hepatologist-surgeon collaboration keeps liver patients home faster

A joint hepatologist-surgeon care model rolled out at Padova University Hospital in Italy is proving its worth for patients undergoing elective liver-related procedures. Launched in February 2023, the model had a designated hepatologist and hepatobiliary surgeon co-schedule admissions, with a specialist nurse coordinating care — and procedures typically performed on the day of admission.

Across 462 procedures — including ERCPs, locoregional liver treatments, and biliary drainage — the vast majority of patients were out the door quickly and safely. Complications were manageable, and only two deaths were reported. Patients with a history of liver transplant or hepatobiliary malignancy were more likely to stay beyond 72 hours.

By the Numbers:

• 83% of patients discharged within 72 hours
• Average hospital stay: 2.4 days
• Complications in 19% of records (mean stay 6.7 vs. 1.2 days with vs. without complications)
• Post-discharge events within 30 days: 22% for biliary drainage vs. 8% (ERCP) and 5% (locoregional treatments)

Why it matters: Co-management models have long been linked to better outcomes and shorter stays. This study adds real-world evidence that the approach works specifically for complex liver patients — potentially easing hospital resource strain while keeping care safe.